| Terry L. Young Ms Lpc, Lcdc | |
|
1524 W Cameron Ave Rockdale TX 76567-2607 | |
| (512) 429-8206 | |
| Not Available |
| Full Name | Terry L. Young Ms Lpc, Lcdc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1524 W Cameron Ave, Rockdale, Texas |
| Authorized Official Name and Position | Terry Young Ms. Lpc Lcdc (OWNER) |
| Authorized Official Contact | 5124294334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry L. Young Ms Lpc, Lcdc 1524 W Cameron Ave Rockdale TX 76567-2607 Ph: (512) 429-8206 | Terry L. Young Ms Lpc, Lcdc 1524 W Cameron Ave Rockdale TX 76567-2607 Ph: (512) 429-8206 |
| NPI Number | 1619556123 |
|---|---|
| Provider Enumeration Date | 04/03/2021 |
| Last Update Date | 06/29/2021 |
| Certification Date | 05/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619556123 | NPI | - | NPPES |
| 394109801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Burns Professional Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1503 Skyles Rd, Rockdale, TX 76567 Phone: 512-446-6311 |